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NCT01713946 · OUTCOME

Long Term Evaluation: Percentage Change From Start of Everolimus in Seizure Frequency by Time Window

A Placebo-controlled Study of Efficacy & Safety of 2 Trough-ranges of Everolimus as Adjunctive Therapy in Patients With Tuberous Sclerosis Complex (TSC) & Refractory Partial-onset Seizures · Source last updated 2018-11-07

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
Percent change
Interval / dispersion
95% Confidence Interval
Time frame
Baseline (8-week period before start of everolimus), Week 7 to 18, Week 19 to 30, and 12 weeks thereafter up to Week 102

What was measured

Percentage change from start of everolimus in average weekly seizure frequency (SFcfe) = 100 × (SFe - SFtw) ÷ SFe where: SFe is the average weekly seizure frequency in the 8-week period before start of everolimus SFtw is the average weekly seizure frequency in a 12-week time window A positive percentage change from start of everolimus (SFcfe) means a reduction in seizure frequency whereas a negative percentage change from start of everolimus (SFcfe) means an increase in seizure frequency.

Analysis population: The LTE Efficacy Set included 361 patients who received at least one dose of everolimus in Core and Extension phase and had at least one valid postbaseline efficacy evaluation.

Groups in this outcome

Everolimus LT Target of 3 to 7 ng/mL

Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a low trough (LT) range of 3 to 7 ng/mL

Everolimus HT Target of 9 to 15 ng/mL

Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a high trough (HT) range of 9 to 15 ng/mL

Placebo

Participants were randomized to receive placebo dispersible tablets for oral suspension.

Everolimus Long Term Evaluation (LTE)

Participants who were treated with everolimus either in the Core or Extension phases of the study and were evaluated for longer term safety and efficacy.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)361

Reported measurements

Week 18

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)352
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)31.65Not reported28.5136.09Not reported
Week 30

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)335
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)35.74Not reported29.3739.06Not reported
Week 42

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)320
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)42.86Not reported34.4448.15Not reported
Week 54

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)299
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)46.05Not reported39.9353.61Not reported
Week 66

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)282
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)49.07Not reported38.2655.56Not reported
Week 78

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)252
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)51.69Not reported43.8861.58Not reported
Week 90

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)222
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)57.33Not reported47.3767.01Not reported
Week 102

Analysis denominator · Participants

GroupSource count
Everolimus LT Target of 3 to 7 ng/mL0
Everolimus HT Target of 9 to 15 ng/mL0
Placebo0
Everolimus Long Term Evaluation (LTE)191
Values in Percent change · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Everolimus Long Term Evaluation (LTE)59.69Not reported52.1370.94Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        28.51
        upper Limit
        36.09
        value
        31.65
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        352
      units
      Participants
    title
    Week 18
  2. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        29.37
        upper Limit
        39.06
        value
        35.74
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        335
      units
      Participants
    title
    Week 30
  3. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        34.44
        upper Limit
        48.15
        value
        42.86
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        320
      units
      Participants
    title
    Week 42
  4. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        39.93
        upper Limit
        53.61
        value
        46.05
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        299
      units
      Participants
    title
    Week 54
  5. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        38.26
        upper Limit
        55.56
        value
        49.07
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        282
      units
      Participants
    title
    Week 66
  6. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        43.88
        upper Limit
        61.58
        value
        51.69
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        252
      units
      Participants
    title
    Week 78
  7. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        47.37
        upper Limit
        67.01
        value
        57.33
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        222
      units
      Participants
    title
    Week 90
  8. categories
    1. measurements
      1. group Id
        OG003
        lower Limit
        52.13
        upper Limit
        70.94
        value
        59.69
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        191
      units
      Participants
    title
    Week 102
denoms
  1. counts
    1. group Id
      OG000
      value
      0
    2. group Id
      OG001
      value
      0
    3. group Id
      OG002
      value
      0
    4. group Id
      OG003
      value
      361
    units
    Participants
description
Percentage change from start of everolimus in average weekly seizure frequency (SFcfe) = 100 × (SFe - SFtw) ÷ SFe where: SFe is the average weekly seizure frequency in the 8-week period before start of everolimus SFtw is the average weekly seizure frequency in a 12-week time window A positive percentage change from start of everolimus (SFcfe) means a reduction in seizure frequency whereas a negative percentage change from start of everolimus (SFcfe) means an increase in seizure frequency.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a low trough (LT) range of 3 to 7 ng/mL
    id
    OG000
    title
    Everolimus LT Target of 3 to 7 ng/mL
  2. description
    Participants were randomized to receive everolimus dispersible tablets for oral suspension with titration to a high trough (HT) range of 9 to 15 ng/mL
    id
    OG001
    title
    Everolimus HT Target of 9 to 15 ng/mL
  3. description
    Participants were randomized to receive placebo dispersible tablets for oral suspension.
    id
    OG002
    title
    Placebo
  4. description
    Participants who were treated with everolimus either in the Core or Extension phases of the study and were evaluated for longer term safety and efficacy.
    id
    OG003
    title
    Everolimus Long Term Evaluation (LTE)
param Type
MEDIAN
population Description
The LTE Efficacy Set included 361 patients who received at least one dose of everolimus in Core and Extension phase and had at least one valid postbaseline efficacy evaluation.
reporting Status
POSTED
time Frame
Baseline (8-week period before start of everolimus), Week 7 to 18, Week 19 to 30, and 12 weeks thereafter up to Week 102
title
Long Term Evaluation: Percentage Change From Start of Everolimus in Seizure Frequency by Time Window
type
SECONDARY
unit Of Measure
Percent change

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Preserved source evidence · Not medical advice